[Out-of-hospital care setting in a Febrile Emergency Unit of suspected Covid 19 patients]. / Atención extrahospitalaria en una Unidad Febril de Urgencia de pacientes sospechosos de Covid 19.

INTRODUCTION: In 2019, a new infection was reported in China. This coronavirus was named SARS-COV-2, causative of the 21st-century pandemic, COVID-19. Health systems adopted different strategies to cope with it. OBJECTIVE: to describe the clinical-epidemiological characteristics of COVID-19 in children seen at an Emergency Febril Unit (UFU). PATIENTS AND METHOD: Cross-sectional study in patients under 18 years of age tested for SARS-COV-2 between April 1 and June 30, 2020. All epidemiological re cords made at the time of consultation and the result of the Polymerase Chain Reaction (PCR) test of these patients, either by suspicion of COVID-19 or epidemiological isolation criteria, were inclu ded. Patients whose samples had been taken for SARS-COV-2 determination outside the initial time of consultation or whose epidemiological records were incomplete or did not meet the established inclusion criteria were excluded. The diagnosis of COVID-19 was made using the PCR technique for SARS-COV-2 in nasopharyngeal secretions obtained by nasopharyngeal swab or aspirate. The following variables were recorded: age, gender, place of residence, history of close contact, history of history of close contacts, travel history and comorbidities, history of institutionalization and PCR result. RESULTS: 1,104 patients were admitted to the UFU and tested due to suspected COVID-19. 152 patients had to be excluded due to insufficient data. Of the 952 patients tested, 22.6% had a detec table result, and 71.2% of them reported close contact with confirmed cases. The mean age was 5.9 years. The 55.4% were male and 99.3% lived in the Metropolitan Area of Buenos Aires. 72.8% of the patients tested had symptoms. The time of delay in consultation was 2.17 days. 25% of the children had comorbidities. CONCLUSIONS: The availability of the UFU facilitated access and optimized the care circuit in response to demand. Children with a history of close contact and those symptomatic showed more frequently a detectable result for SARS-COV-2.

Evaluation of the program of introduction to research in pediatric residency at Hospital General de Niños Pedro de Elizalde, 1997-2012.

INTRODUCTION: There is little information regarding research during internship and residency. Our objective is to describe interns' and residents' scientific research output, to estimate the rate of dissemination of their work (presentation in a scientific meeting and/or publication), and to identify potential barriers to dissemination. METHODS: Cross-sectional study that included all articles developed at the Resident Research Training Program of Hospital General de Niños Pedro de Elizalde (HGNPE) between 1997 and 2012. RESULTS: Authors of451/531 articles were contacted. The annual output underwent a steady increase (1997= 12 vs. 2012= 40; R2= 0.88; p < 0.001).When exclusively considering research projects (no reviews) (n= 195), 30.8% were disseminated (26.7% were presented in meetings and 11.3% were published). Retrospective studies were more frequently disseminated than prospective ones (37.5% vs. 21.7%; OR: 2.17; p < 0.02), and this also occurs with analytical projects when compared to descriptive ones (41.2% vs. 16%; OR: 3,67; p < 0.001). Lack of time was the most common reason for not disseminating research findings (45.9%). CONCLUSION: Only 30.8% of research projects were disseminated. Studies with retrospective data collection and analytical design had more chances of being disseminated.